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宠物主人在宠物被诊断出癌症后出现的抑郁和焦虑:日本的一项横断面研究。

Depression and anxiety in pet owners after a diagnosis of cancer in their pets: a cross-sectional study in Japan.

机构信息

Japan Small Animal Cancer Center, Japan Small Animal Medical Center, Tokorozawa, Japan.

Division of Clinical Epidemiology, Research Center for Medical Sciences, The Jikei University School of Medicine, Tokyo, Japan.

出版信息

BMJ Open. 2019 Feb 19;9(2):e024512. doi: 10.1136/bmjopen-2018-024512.

Abstract

OBJECTIVE

To determine the presence and predictors of depression and anxiety in pet owners after a diagnosis of cancer in their pets.

DESIGN

Cross-sectional study.

SETTING

A veterinary medical centre specialised in oncology for dogs and cats and two primary veterinary clinics in Japan.

PARTICIPANTS

The participants for analysis were 99 owners of a pet with cancer diagnosis received in the past 1-3 weeks and 94 owners of a healthy pet.

MAIN OUTCOME MEASURES

Self-reported questionnaires were used to assess depression and anxiety. Depression was assessed using the Center of Epidemiologic Studies Depression Scale, and anxiety was measured by using the State-Trait Anxiety Inventory-Form JYZ.

RESULTS

Depression scores were significantly higher in owners of a pet with cancer than owners of a healthy pet, even after adjustment for potential confounders (p<0.001). Within the owners of a pet with cancer, depression was significantly more common in those who were employed than those who were unemployed (p=0.048). State anxiety scores were significantly higher in owners of a pet with cancer than owners of a healthy pet, even after adjustment for potential confounders, including trait-anxiety scores (p<0.001). Furthermore, in owners of a pet with cancer, state anxiety was higher in owners with high trait anxiety (p<0.001) and in owners whose pets had a poor prognosis (p=0.027).

CONCLUSION

The results indicate that some owners tended to become depressed and anxious after their pets had received a diagnosis of cancer. Employment may be a predictor of depression. High trait anxiety and a pet with a poor prognosis may increase owners' state anxiety. Including the pet in a family genogram and attention to the pet's health condition may be important considerations for family practice.

摘要

目的

确定宠物主人在其宠物被诊断出癌症后是否存在抑郁和焦虑,以及其预测因素。

设计

横断面研究。

地点

日本一家专门为犬猫提供肿瘤学治疗的兽医医疗中心和两家初级兽医诊所。

参与者

分析的参与者为过去 1-3 周内接受宠物癌症诊断的 99 名宠物主人和 94 名健康宠物主人。

主要观察指标

使用自我报告问卷评估抑郁和焦虑。使用流行病学研究中心抑郁量表评估抑郁,使用状态特质焦虑量表-JYZ 评估焦虑。

结果

即使在调整了潜在混杂因素后,患有癌症宠物的主人的抑郁评分仍明显高于健康宠物的主人(p<0.001)。在患有癌症宠物的主人中,与失业者相比,就业者的抑郁更为常见(p=0.048)。即使在调整了潜在混杂因素,包括特质焦虑评分后,患有癌症宠物的主人的状态焦虑评分仍明显高于健康宠物的主人(p<0.001)。此外,在患有癌症宠物的主人中,状态焦虑在特质焦虑高的主人中更高(p<0.001),在宠物预后差的主人中更高(p=0.027)。

结论

结果表明,一些宠物主人在其宠物被诊断出癌症后可能会变得抑郁和焦虑。就业可能是抑郁的预测因素。高特质焦虑和宠物预后差可能会增加主人的状态焦虑。将宠物纳入家庭系谱图,并关注宠物的健康状况,可能是家庭实践中的重要考虑因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b527/6368008/ea6fc9876c1c/bmjopen-2018-024512f01.jpg

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